Commercial Auto and General Liability Adjuster

Questpro Consultants LLC; Irving (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

Carrier in Irving, TX is seeking a Sr. Claims Representative to join the branch office. This role handles liability claims across Commercial Auto and General Liability, assesses coverage, liability, and damage issues, and investigates to resolve claims promptly.

You will coordinate with insureds, witnesses, and counsel, prepare reserve analyses, letters, and negotiate settlements, while ensuring regulatory compliance and customer service standards.

Qualifications

• 5+ years of claims handling experience.
• Strong knowledge of liability, such as Commercial Auto and General Liability.
• Ability to obtain and maintain state adjusting licenses, as needed.
• Excellent communication and negotiation skills.

Responsibilities

• Review policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims.
• Prepare reservation of rights letters, nonwaiver agreements, and coverage reminders to address claim coverage issues.
• Review and evaluate claim reserves to ensure reserves reflect potential exposure.
• Investigate claims to evaluate coverage and legal issues, including statements and records collection.
• Provide documentation and reporting of investigation and claims handling activities.
• Negotiate settlements with claimants and attorneys; coordinate with mediation, arbitration, or court supervision as needed.
• Maintain knowledge of regulatory and jurisdictional requirements.
• Direct defense counsel, independent adjusters, and other third parties retained for the claim.
• Identify and pursue risk transfer opportunities when applicable.
• Other duties as assigned.

Skills

Policy interpretation

Liability knowledge

Claims investigation

Negotiation

Customer service

Job description

Carrier located in Irving is currently seeking a Sr. Claims Representative to join their branch office located in Irving, TX .

Position Summary

This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Liability (Commercial Auto and General Liability). This includes assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and effectively resolving all assigned claims in a timely manner according to company and regulatory guidelines. Provides a high level of customer service to internal and external business partners.

Primary Responsibilities

• Review, analyze, and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims
• Prepare reservation of rights letters, nonwaiver agreements, and coverage DISCLAIMERS to address claim coverage issues
• Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
• Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
• Provide proper documentation and reporting of investigation and claims handling activities
• Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents
• Maintain a working knowledge of regulatory and jurisdictional requirements
• Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim
• Identify and pursue (if applicable) risk transfer opportunities
• Other duties as assigned

Qualifications

Minimum of 5 years of experience with the following:

• Coverage Review — interpreting policies, agreements/contracts, reservation of rights, and DISCLAIMERS
• Claims Investigation — Statements, authorizations, retention of qualified experts and counsel
• Claims Administration — Reports, review reserves, compliance knowledge of laws and procedures
• Claims Settlement — Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary
• Knowledge of coverage, negligence principles, investigation, and negotiation techniques
• Ability to obtain and maintain state adjusting licenses, as needed
• Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
• Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
• Ability to manage and organize workload of multiple tasks simultaneously
• Excellent judgement, negotiation, and decision making skills
• Must be able to travel between different off-site locations or overnight in an expeditious manner
• Experience in handling liability claims in Oklahoma and Texas.